Integrated Programs for Dual Eligibles is a program that will offer a coordinated benefit package-including care coordination and care management- that is evidence based, promotes value, and contributes to the overall improved health for persons who are jointly eligible for both Medicaid and Medicare. Individuals who are entitled to Medicare coverage and are eligible for some form of Medicaid benefit are usually referred to as a dual eligible.
It was estimated that by 2030, Colorados 65 and over population will be 125% larger than it was in 2010, growing from 555,000 to 1,243,000. Older adults are essential to our society and must be provided with long lasting opportunities that keeps them active and well connected within communities. By focusing on a multidisciplinary approach that includes socio-economic factors, health and social services, and cultural competencies, the needs of older adults can be met, allowing them to reach their fullest potential and achieve a high quality of life. Recognizing that Colorado has a multitude of initiatives focusing on improving the health of Coloradans, the Department of Public Health and Environment (CDPHE), Human Services (CDHS), and Health Care Policy and Financing (HCPF) created the Colorado Cross-Agency Collaborative to establish a data strategy identifying metrics that are pertinent to Colorado as well as identifying gaps where further work is needed.
Our review of 35 states indicates that there is more activity now than ever before in the MMIS procurement and implementation space. MMIS solutions have evolved steadily since they were first mandated and funded in the 1970s. During the past four decades, Medicaid data, system processes and architecture, and transaction specifications have been standardized to allow for improved program management and broader health care IT interoperability. The State's current MMIS is over 20 years old, with components that are over 30 years old. The current MMIS needs to be replaced.
